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General NPI Number Information
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NPI Number | 1942883269
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Entity Type | Individual
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Provider Name | SUZANNE MARDELL MCDOWELL MSN, RN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 4355 PARIS GRAVEL RD
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City | HANNIBAL
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State | MO
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Zip | 63401-6017
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Country | US
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Telephone | 573-603-1460
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Fax | 573-603-1462
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Provider Business Mailing Address
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Address Line | PO BOX 844715
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City | KANSAS CITY
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State | MO
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Zip | 64184-4715
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Country | US
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Telephone | 417-761-5214
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Fax | 417-761-5065
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2019033765
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2021013056
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License Number State | MO
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